[Case of multiple pulmonary arteriovenous fistulas detected during treatment for severe pneumonia].
A 55-year-old woman who developed severe hypoxemia associated with severe pneumonia was admitted to our hospital for mechanical ventilation. She was treated with antibiotics under a diagnosis of mycoplasma pneumonia. Although most clinical findings improved, hypoxemia remained. As a chest CT film showed multiple nodules and an enhanced CT film revealed arterial filling in the nodules, multiple pulmonary arteriovenous fistulas (PAVFs) were considered to be an underlying cause of hypoxemia. Transcatheter coil embolization for 5 PAVFs, significantly ameliorated hypoxemia in the patient. PAVF is a congenital desease, and in many cases, is asymptomatic. Therefore, it was rare for PAVFs to be detected in a middle-aged patient with prolonged hypoxemia associated with pneumonia.
Kyoraku
Yuka
Y
Internal Medicine, Faculty of Medicine, University of Miyazaki.
Ashitani
Jun-Ichi
J
Imazu
Yoshifumi
Y
Fukuyama
Chikara
C
Miyoshi
Kahori
K
Kodama
Tsuyoshi
T
Yanagi
Shigehisa
S
Matsumoto
Nobuhiro
N
Nakazato
Masamitsu
M
D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008875:Middle Aged; D011019:Pneumonia, Mycoplasma / Q000209:etiology*; D011651:Pulmonary Artery / Q000002:abnormalities*; D011667:Pulmonary Veins / Q000002:abnormalities*; D011859:Radiography; D012720:Severity of Illness Index; D016896:Treatment Outcome